Mosi Blake, L/ATC Valid NPI

Individual provider · Athletic Trainer · Brandon, FL

NPI

1336656263

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

AL2928 (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-12-31

Last updated

2021-04-22